Hiking in Suicidal Patients: Neutral Effects on Markers of Suicidality
| Autor: | Martin Plöderl, Josef Niebauer, Mira M. Baumgartlinger, E. Ledl-Kurkowski, Clemens Fartacek, Daniel Neunhäuserer, Karl Kralovec, Eva Steidle, David Niederseer, Josef Sturm, Reinhold Fartacek |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Poison control Walking Suicidal Ideation Oxygen Consumption Endurance training Depression Endurance training Hiking Hopelessness Physical exercise training Suicide prevention Cross-Over Studies Cytokines Exercise Exercise Therapy Female Humans Middle Aged Physical Endurance Prospective Studies Medicine (all) medicine Prospective cohort study Suicidal ideation Sedentary lifestyle Watt business.industry General Medicine Crossover study Concomitant Physical therapy medicine.symptom business |
| Zdroj: | The American Journal of Medicine. 126:927-930 |
| ISSN: | 0002-9343 |
| DOI: | 10.1016/j.amjmed.2013.05.008 |
| Popis: | Background Regular physical activity promotes physical and mental health. Psychiatric patients are prone to a sedentary lifestyle, and accumulating evidence has identified physical activity as a supplemental treatment option. Methods This prospective, randomized, crossover study evaluated the effects of hiking in high-risk suicidal patients (n = 20) who performed 9 weeks of hiking (2-3 hikes/week, 2-2.5 hours each) and a 9-week control period. Results All patients participated in the required 2 hikes per week and thus showed a compliance of 100%. Regular hiking led to significant improvement in maximal exercise capacity (hiking period Δ: +18.82 ± 0.99 watt, P P = .134) and in aerobic capability at 70% of the individual heart rate reserve (hiking period Δ: +8.47 ± 2.22 watt; P = .010; control period: P = .183). Cytokines, associated previously with suicidality (tumor necrosis factor-α, interleukin-6, S100), remained essentially unchanged. Conclusions Hiking is an effective and safe form of exercise training even in high-risk suicidal patients. It leads to a significant improvement in maximal exercise capacity and aerobic capability without concomitant deterioration of markers of suicidality. Offering this popular mode of exercise to these patients might help them to adopt a physically more active lifestyle. |
| Databáze: | OpenAIRE |
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